We have Board Certified Pediatricians (Dr Vaidehi Shah, Dr Jenie Ferrer) and a Board Certified Family Physicians (Dr Kanika Govil, Dr Sharayu Sawant). Our pediatricians and our family physicians specialize in treating your child from birth to age 18.
Pediatric Medical Services from New Born to Age 16. Our office in Dulles VA is close to Ashburn, South Riding, Stone ridge and Arcola VA.
Monitoring your child's development. If any concerns, bring it up to your pediatrician.
At 1 month - raise head slightly, making some throat sounds, moving all extremities, briefly follows objects.
At 2 months - Head up; bobbing when sitting; occasional smile; fixes and follows
At 4 months - good head control, rolling side to side. reaching, laughing
At 6 months - sitting with help, rollling from back to front; babbling
For constipation concerns, ask yourself the following questions:
Is my baby excessively fussy?
Is my baby spitting up more than usual?
Is my baby having dramatically more or fewer bowel
movements than before?
Are my baby's stools unusually hard, or do they contain blood related to hard stools?
Does my baby strain for more than 10 minutes without success?
These signs can all suggest actual constipation.
What parents can do:
After the first month of life, if you think your baby is constipated, you can try giving him or her a little apple or pear juice. The sugars in these fruit juices aren’t digested very well, so they draw fluid into the intestines and help loosen stool. As a rule of thumb, you can give 1 ounce a day for every month of life up to about 4 months (a 3-month-old baby would get 3 ounces). Some doctors recommend using corn syrup like Karo, usually around 1 to 2 teaspoons per day, to soften the stools. Once your infant is taking solids you can try vegetables and fruits, especially that old standby, prunes. If these dietary changes don’t help, it’s time to call your child's pediatrician. "
FDA Recalls Homeopathic Teething Products
MBI Distributing, Inc. is voluntarily recalling all lots of homeopathic Teething Drops, Nausea Drops, Intestinal Colic Drops, Stomach Calm, Expectorant Cough Syrup, Silver-Zinc Throat Spray, and Argentum Elixir, within expiry, to the consumer level. The drug products have been found to be manufactured with a lack of adequate controls.
Risk Statement: Manufacturing products without proper process controls increases the probability that products will vary in strength, quality and purity. Use of these products could result in an adverse reaction, especially in vulnerable populations such as infants and children. To date, MBI Distributing, Inc. has not received any reports of adverse events related to this recall.
These homeopathic drug products are in liquid oral dosage form and are packaged in sizes from 1 fluid ounce to 8 fluid ounces.
Product/Brand Name Size UPC Code
Teething Drops 1 Fluid Ounce 58301-04011
Nausea Drops 1 Fluid Ounce 58301-05711
Intestinal Colic Drops 1 Fluid Ounce 58301-04211
Stomach Calm 8 Fluid Ounces 58301-38414
Expectorant Cough Syrup 8 Fluid Ounces 58301-08214
Argentum Elixir 8 Fluid Ounces 58301-18114
Silver/Zinc Throat Spray 4 Fluid Ounces 58301-18118
These products were distributed nationwide to health care professionals, retail stores, and consumers.
MBI Distributing, Inc. is notifying its distributors and retailers by mail and is arranging for return of all recalled drug products in their possession. Consumers who have recalled product in their possession should stop using and discard the recalled product.
Consumers with questions regarding this recall can contact MBI Distributing, Inc. by calling 801-796-8745 (Monday-Friday 9:00 am-5:00 pm Mountain Time). Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using these drug products.
Is your child's cold something more serious? By Dr Vaidehi Shah MD
While many of the symptoms are common for multiple disorders, newborns with flu, croup, or pneumonia will often show other symptoms.
A newborn with flu may have cold symptoms, but these are often alongside other signs that may include vomiting, diarrhea, or higher fever.
The baby may also be especially fussy due to other symptoms they are too young to cannot express. A baby with the flu will often seem sicker than with a cold, but not always.
Babies with croup will have the typical symptoms of a cold, but these symptoms may quickly get worse.
Babies may have a harsh, barking cough. They may have difficulty breathing, which could cause them to make straining, squeaking noises, or to sounding hoarse when they cough.
Whooping cough, also called pertussis, begins as a cold, but symptoms can shift after a week or so. The baby may develop a severe hacking cough that makes it hard for them to breathe.
The cough may make the baby take deep breaths immediately after coughing. These breaths make a whooping noise.
The classic "whoop," however, is more common in older children and adults and does not often happen in babies.
An infant with pertussis often vomits after coughing or, more seriously, may briefly turn blue or stop breathing.
Whooping cough is serious and requires immediate medical care.
Babies may be more at risk than older people of a cold turning into pneumonia. This can happen quickly, which is why it is important to notify a pediatrician for a proper diagnosis.
Pneumonia symptoms include:
strong cough, worsening over time
Babies with pneumonia may also have difficulty breathing. They could breathe more rapidly than normal, or their breathing could sound difficult.
In some cases, their lips or fingers may look blueish, which is a sign they are not getting enough oxygen and need emergency medical attention.
What to expect from a baby's first cold
A newborn baby starts building its immune system early on. But before this early immunity is fully developed, a baby may be prone to catching and having to fight off viruses such as colds.
Colds are less common in newborns because they have some immunity from their mothers. This immunity wears off by about 6 months, and then colds become more common.
A newborn with a cold can be scary for a parent or carer to watch. But these illnesses are vital to help the baby's body learn to fight the viruses that cause the common cold.
Children will usually have numerous colds before their first birthday. There are some other symptoms to look out for to be sure it is a cold, and there will be times when a doctor should be seen.
Treating a newborn's cold requires especially gentle care but is often not a serious issue.
Fast facts on newborn colds:
A cold may strike at any time of year and in a child of any age.
Nasal symptoms may be an early sign of a cold in newborn babies.
Babies less than 3 months old should be taken to a doctor if they have a cold.
Symptoms of a newborn cold
small baby having its temperature measured by touching its head
Some immunity to infections is passed to newborns from their mother, but this wears off at around 6 months old.
Newborns may have excess nasal discharge that starts out runny and watery but progresses to a thicker, yellow to green discharge within a few days.
This is the natural progression of the infection.and does not automatically mean symptoms are getting worse.
A slight fever may also follow, which could be another sign of their body fighting off the infection.
Other signs of a cold in newborns include:
irritability or fussing
lack of appetite
trouble sleeping or staying asleep
difficulty nursing due to a stuffy nose
The signs of colds in newborns are similar to the symptoms of some other illnesses, including croup and pneumonia. These conditions are more serious, however, so parents and carers should contact a doctor or specialist pediatrician if a newborn shows signs of a cold.
A doctor can do a thorough diagnosis and usually put troubled minds at ease. The parents or carers can then better focus on tending to their child's cold.
A Breastfeeding Checklist: Are You Nursing Correctly? - Dr Jenie Ferrer Stonesprings Pediatrics
Signs of Correct Nursing
Your baby’s mouth is open wide with lips turned out.
His chin and nose are resting against the breast.
He has taken as much of the ar**la as possible into his mouth.
He is suckling rhythmically and deeply, in short bursts separated by pauses.
You can hear him swallowing regularly.
Your ni**le is comfortable after the first few suckles.
Signs of Incorrect Nursing
Your baby’s head is not in line with his body.
He is sucking on the ni**le only, instead of suckling on the ar**la with the ni**le far back in his mouth.
He is sucking in a light, quick, fluttery manner rather than taking deep, regular sucks.
His cheeks are puckered inward or you hear clicking noises.
You don’t hear him swallow regularly after your milk production has increased.
You experience pain throughout the feed or have signs of ni**le damage (such as cracking or bleeding).
Baby Sunburn Prevention By Jenie Ferrer DO
Why is a baby at special risk from sunburn?
A baby’s skin is more delicate and thinner than an adult’s and burns and irritates more easily. Even dark-skinned babies may be sunburned. Babies cannot tell you if they are too hot or beginning to burn and cannot get out of the sun without an adult’s help. Babies also need an adult to dress them properly and to apply sunscreen.
Learn how to stop sunburn before it happens and keep your baby happy, safe, and smiling:
Babies younger than 6 months should be kept out of direct and indirect sunlight because of the risk of heat stroke. Particularly, avoid having a baby out between 10 a.m and 2 p.m. when the sun’s rays are strongest.
Keep babies in the shade as much as possible. For example, they should be moved under a tree, beach umbrella, or stroller canopy. However, it is important to note that although on reflective surfaces, an umbrella or canopy may reduce UVR exposure by only 50%.
Dress babies in lightweight cotton clothing with long sleeves and long pants and a sun hat with a wide brim.
Sunscreen may be applied to babies younger than 6 months to small areas of skin uncovered by clothing and hats. Remember to cover all exposed areas of a baby's skin, including the face, back of the hands, back of the neck, tips of the ears, and tops of the feet.
Apply the protection 15 to 30 minutes before going out. Keep in mind that no sunscreens are truly waterproof, and thus they need to be reapplied every one and a half to two hours, particularly if a baby goes into the water. Consult the instructions on the bottle.
Smoking While Pregnant Could Harm Child's Breathing
Children born to mothers who smoked during pregnancy are apt to have breathing issues in childhood and beyond.
The finding comes from the analysis of data on more than 2,000 U.S. children, ages 6 to 11. Nearly 10 percent of the children -- those who had asthma and those who didn't -- had reduced lung function.
There is a weak link between the children's current exposure to secondhand smoke and airflow obstruction. However, among children with asthma, those whose mother smoked during pregnancy were 2.5 times more likely to have obstructed breathing.
The findings point to a mother's "smoking in pregnancy as the period of secondhand exposure that is more strongly associated with worse lung function in asthmatic children" .
"Maternal smoking in pregnancy may set children with asthma on a trajectory of poor lung function in later childhood, and other studies suggest this effect may be lifelong," Whittaker Brown said in a journal news release.
Analyzing the individual contribution of secondhand smoke exposure during pregnancy or current, ongoing secondhand smoke exposure on the lung function of children.
The flu is here — and so is a new advisory from the CDC
It seems like we hear the same thing every flu season — it’s going to be bad this year. In fact, different years bring different strains of flu, and the numbers of cases, complications, hospitalizations, and deaths related to the flu vary from year to year.
So, what’s the deal this year?
The CDC has just issued an advisory. Here are the highlights:
Flu season is heating up. The number of cases is rising and the predominant strain — A(H3N2) — is one that in past years has caused more hospital admissions and deaths than other strains, especially among older adults and young children.
The flu vaccine may not be very effective. Estimates are that it’s about 32% effective, while last year it was 39% effective and most years it’s 40% to 60% effective. Still, vaccination is highly recommended. Some protection is better than none, and the flu may be less severe in people who have been vaccinated.
Antiviral medications can shorten the course of the flu and reduce its severity. These medications include:
oral oseltamivir (generic or as Tamiflu)
inhaled zanamivir (Relenza)
intravenous peramivir (Rapivab).
The antiviral medications work best when started within two days of the onset of symptoms; even after two days, these medications can be beneficial.
When flu is strongly suspected, treatment with antiviral medications should not be delayed while waiting for the results of flu tests. This is especially true for those most likely to suffer complications of the flu such as the elderly, chronically ill, and young children.
Antiviral medications — like antibiotics but different
If you have never heard of antiviral drugs, you aren’t alone. Antivirals are treatments for viral infections just as antibiotics (such as penicillin or erythromycin) are for bacterial infections. You may not be familiar with them because there aren’t nearly as many antiviral drugs as antibiotics, and most viral infections go away on their own. But for certain serious viral infections —
HIV and hepatitis C are good examples — highly effective antiviral drugs have revolutionized care, prevented suffering, and saved countless lives. For influenza infections, antiviral medications can be a big help as well.
What’s the plan?
When it comes to the flu, there’s a lot you can do to reduce your risk (and the risk to those around you). Here are some measures to take now:
Get vaccinated. The list of reasons to avoid vaccination is short (such as having a severe reaction to the vaccine in the past); and no, the standard injected flu vaccine cannot cause you to get the flu.
Let your doctor know right away if you have symptoms suggestive of the flu during flu season. The sooner you’re tested and treated, the better. The most common symptoms are:
fever and chills
cough and runny nose or congestion
fatigue and achiness all over
Stay home. If you have flulike symptoms, avoid contact with others. If that means missing work, your boss should be grateful you aren’t exposing your coworkers.
Wash your hands often and cover your mouth and nose when coughing or sneezing. If you are taking care of someone who has the flu, remind them to take these precautions.
Supercharge your cold and flu defenses!
Maybe this year’s flu season will be milder than expected. But I wouldn’t count on it. I’ve had the flu and it’s not pleasant. Do what you can to lessen your risk. It’s worth the effort.
Take your kids to see your pediatrician As Soon as you see Flu like symptoms.
Bacteria vs. Virus
Have you ever wondered why you take your child to the doctors only to leave frustrated that the Provider did not give your child any medication to get better. Instead they said your child has a virus and to treat the symptoms.
So let’s take a look at why providers do not give treatment for a virus. There are a few symptoms that both a bacterial infection and a virus have in common. They are things such as chills and fevers.
Now let’s look at a Virus. A Virus can attack many parts of the body and have many symptoms, such as runny nose, nasal congestion, cough, sore throat and body aches. The treatment for a virus is to treat the symptoms. Take Acetaminophen or Ibuprofen for fever. Over the counter medications should be used for the cough, runny nose, and saline water for the nasal congestion. A VIRUS WILL NOT RESPOND TO ANTIBIOTICS. This is the reason that providers do not prescribe antibiotics for a VIRUS. If your child has a virus you must treat the symptoms, increase your child’s fluid intake to prevent dehydration and get adequate rest.
If you child has a bacterial infections it will be treated with antibiotics. Bacterial infections normally, only affect one part of the body, such as an ear infection, strep throat or a urinary infection. These infections are treatable with antibiotics.
Both a virus and a bacterial infection will take about the same amount of time to resolve. Normally 7-14 days. Even if your child is looking and feeling better if you have been prescribed antibiotics PLEASE TAKE THE ENTIRE COURSE TO PREVENT MEDICATION RESISTANCE.
If your child is sick with any of these symptoms feel free to visit one of our locations and we will be happy to assist you in making your child feel better. But, please remember if we say it is viruses don’t get upset that we are not giving you antibiotics we are doing what is best for your child’s health.
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Dulles Urgent Care Medical Center is Stone Ridge's 7-day a week, walk-in, no-appointment center. We're next to Harris Teeter!
Conveniently located on Route 50, our 234,000 square foot, 124 bed acute care medical and surgical hospital serves residents in Loudoun County.